Provider Demographics
NPI:1851974059
Name:WILLIAMS, NEKESHA R (LCSWA)
Entity Type:Individual
Prefix:
First Name:NEKESHA
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:NEKESHA
Other - Middle Name:WILLETTE
Other - Last Name:RANDOLPH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1725 HARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-3952
Mailing Address - Country:US
Mailing Address - Phone:910-824-0373
Mailing Address - Fax:
Practice Address - Street 1:1725 HARRINGTON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-3952
Practice Address - Country:US
Practice Address - Phone:910-824-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0153501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical